Tag:

Improper Payments

Latest Headlines

Latest Headlines

GAO: CMS must take stronger stand on Medicare fraud, overpayments

The U.S. Department of Health & Human Services is leaving billions of dollars on the table by not acting on recommendations from the Government Accountability Office for Medicare oversight,

State owes $35M in Medicaid errors

Although hospitals in New Hampshire cut their state tax fee by $50 million last month, the state will be paying $35.8 million back to the federal government starting next year. According to the

Hospitals worried about Medicare RAC prepayment audits

Hospitals and other providers are concerned about the administrative burden that comes along with the administration's crackdown on improper payments. Through new pilots, Medicare will conduct

State misspent $263M in Medicaid mistakes

Virginia committed a major oops in Medicaid enrollment mistakes, worth between $18 million and $263 million in 2009, mostly because of human errors in manually processing applications, according to a

RACs correct $92.3M in improper payments

The government corrected $75 million in Medicare overpayments and $16.9 million in underpayments in fiscal year 2010, according to the first Centers for Medicare & Medicaid Services (CMS) report

Smart card plan proposed to combat Medicare fraud

Bills have been introduced in both houses of Congress to require the use of smart cards to combat Medicare fraud. What's unclear is who would pay for the technology, which might cost nearly $1

GAO: Medicare responsible for 40% of government waste

Inappropriate payments through the Medicare program comprised about 40 percent of all government waste, according to a report by the Government Accountability Office (GAO). According to data from the

Dow Jones sues to expose Medicare payment data on crooked docs

Since 1979, a court injunction has blocked access to Medicare records that would reveal which doctors are bilking the $500 billion system. Yesterday, Dow Jones & Company, the Wall Street

CMS proposes regulations for Medicaid RACs

The Centers for Medicare and Medicaid Services has proposed new rules for recovery audit contractors ( RAC news) regarding their audits of Medicaid payments, a change intended to make the process

CMS clarifies new RAC guidelines

The Centers for Medicare & Medicaid Services has begun providing more succinct communications regarding its recovery audit contractor programs ( RAC news). In a letter sent to state Medicaid